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Form 1 Notice of Limited Scope Representation

Attorney: __________________________

Bar No.: __________________________

Firm: __________________________

Address: __________________________

__________________________

Phone: __________________________

Email: __________________________

Attorney for: __________________________

IN THE _____________________ JUDICIAL DISTRICT COURT IN AND FOR THE COUNTY OF __________________, STATE OF NEVADA

PLAINTIFF,

Plaintiff,

v.

DEFENDANT,

Defendant.

Case No.:

Dept.:

NOTICE OF LIMITED SCOPE REPRESENTATION

Pursuant to District Court Rule 26, the undersigned hereby makes a limited scope appearance on behalf of ____________________, Plaintiff/Defendant.

1. _______________________________________, limited scope counsel for Plaintiff/Defendant, have entered into a written agreement to represent the party for a limited scope of services. Limited scope counsel will serve as attorney of record only for the following specific issues or matters before the court:

Scope of Services

2. Any other party, or their attorney, must serve the undersigned with all pleadings related to the above-stated matters. Any other party, or their attorney, is authorized and required to also serve the Plaintiff/Defendant directly.

3. Any other party, or their attorney, may communicate directly with the Plaintiff/Defendant for all matters not stated in the above Scope of Services to the extent not otherwise prohibited.

4. INFORMED CONSENT: Plaintiff/Defendant understands the limited scope attorney will only complete the Scope of Services listed above and that Plaintiff/Defendant is responsible for all other aspects of their case not specifically listed above.

4____________________________ 4_______________________________

(Attorney’s signature) (Plaintiff’s/Defendant’s signature)

_______________________________

(Attorney’s printed name) (Plaintiff’s/Defendant’s printed name)